By: Christopher A. Parrella, Esq., CPC, CHC, CPCO Parrella Health Law, Boston, Ma. A Health Care Provider Defense and Compliance Firm

In a major crackdown on Medicare fraud, Michael W. Dole, MD, a pain management physician based in Alexandria, Louisiana, has been charged with defrauding Medicare of over $32.7 million. Dr. Dole operated an in-house drug testing laboratory and, according to federal prosecutors, billed Medicare for unnecessary definitive urine drug testing services. This fraudulent scheme spanned over a decade, from 2010 to 2023, and Medicare is alleged to have reimbursed Dr. Dole over $11.7 million for these tests, which were reportedly medically unnecessary.

The Allegations

The charges against Dr. Dole include one count of conspiracy to commit health care fraud and five counts of health care fraud. The indictment alleges that Dr. Dole ordered extensive drug tests for nearly all his patients, testing for over 22 classes of drugs without adequate documentation of patient need or suspicion of drug use. This extensive drug testing generated millions of dollars in fraudulent claims.

If convicted, Dr. Dole faces up to 10 years in prison for each count of health care fraud. This case highlights the Department of Justice’s ongoing efforts to crack down on fraudulent activity in the healthcare sector, particularly within federal health care programs like Medicare.

This indictment is part of a broader effort by the Department of Justice’s Health Care Fraud Strike Force, which has been actively pursuing fraudulent activity in the healthcare system. Since 2007, the Strike Force has charged over 5,400 defendants with defrauding federal health care programs and private insurers out of more than $27 billion.

This case serves as a stark reminder to healthcare providers of the consequences of engaging in fraudulent activities that exploit vulnerable patients and taxpayer-funded programs.

If you are a healthcare provider or involved in the healthcare industry, it’s crucial to ensure full compliance with all legal and regulatory requirements. If you suspect any fraudulent activity or need guidance on maintaining compliance, contact Parrella Health Law. We specialize in healthcare defense and compliance issues, offering expert advice and protection for your business.

For any questions or concerns, reach out to Parrella Health Law at 857.328.0382 or email Chris directly at cparrella@parrellahealthlaw.com. Protect your practice and safeguard your future with trusted legal guidance.